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President: Sandy Abercrombie Vice President: Nancy Trahern Secretary: Nancy Iannios Treasurer: Sandy Spickler Immediate Past President: Barbara BiencourtLinks Section
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MEMBERSHIP Application Membership Application (includes membership in OFRW and NFRW) Please Print Clearly and fill out the entire form. Club membership is limited to registered Republicans. Member Name: ___________________________________ Dues - $25.00 Associate Member Name: ____________________________ (Spouses, Legislators, OFRW members from other clubs) - Dues - $25.00 Contribution $___________ Address_____________________________________________ City _________________________, OR _________ -_______ Please use Zip Code Zip+4 Telephone _________________________________________ Cell Phone _________________________________________ e-mail _____________________________________________ Check all that apply: __ I am a Registered Republican __ I would like to volunteer __ I have been a member before Please make check payable to JCRW Return this form to: JCRW %Sandra Abercrombie, JCRW President PO Box 4341 Medford, OR 97501 |
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